Please join us for a presentation and happy hour for those interested in health sector evaluation!
Join us for a presentation on Measuring Health Care Value Using Claims Data and the Episode-of-care Construct with Greg Matthews of the Altarum Institute.
This afternoon session will be held on Tuesday, August 29 from 4:30-5:30pm at the Altarum Institute (2000 M St NW, Conference Room A (Lower Level), Washington, DC).
This session will be followed by a happy hour at Stoney's on L (2101 L St NW Suite) from 5:40-7:30pm, for those interested in networking and hearing more about Greg's talk.
WE members also have access to the members-only call-in number. When registering, please indicate if you will be attending the presentation in person or using the conference line.
Measuring Health Care Value Using Claims Data and the Episode-of-Care Construct
Health care costs have risen faster than inflation for decades. Health care consumers lack the information they need to evaluate options and choose good quality care at a reasonable price. One of Altarum's approaches to these issues involves grouping claims data into episodes-of-care, a patient-centered construct that provides a common and comprehensible unit of analysis for evaluating quality and efficiency. This presentation will introduce the concepts and methods underlying PROMETHEUS software to group clinically-relevant procedure and diagnosis codes into 90+ distinct episodes of care. By attributing allowed costs on claims to either typical care or care related to potentially avoidable complications, PROMETHEUS Analytics can be used to measure both cost and quality of care. A few implementations of PROMETHEUS Analytics will be reviewed, including uses for payment arrangements and for increasing transparency into health care for consumers.
Greg Matthews is a health evaluator with 14 years of evaluation experience. At Altarum, a non-profit organization specializing in improving health and health care, he manages implementations of the PROMETHEUS episode grouper and Bridges To Excellence provider recognition programs. His current work focuses on improving incentives in health care through transparent cost and quality information based on claims data. PROMETHEUS analytics allow the implementation and evaluation of various alternative payment arrangements to improve the quality of care and reduce costs. Greg's past work at Altarum includes evaluations of MCHB grants for oral health access, suicide prevention programs for Veterans, and several other research/analytic projects. Before joining Altarum in 2015, he spent four years at Booz Allen Hamilton consulting federal agencies as a social scientist and three years with Child Trends as a reseasrch assistant. Greg received his Master's degree from the University of Washington Sociology Department in 2009 where he studied demography and statistics, writing his dissertation prospectus on mortality in rural South Africa and his Master's thesis on racial disparities in infectious diseases for the incarcerated population. Greg also holds a BA in Anthropology/Sociology from Rhodes College in Memphis, TN.